中国处方药
中國處方藥
중국처방약
CHINA PRESCRIPTION DRUG
2014年
6期
42-43
,共2页
低位直肠癌%全系膜切除%双吻合器%吻合口瘘%原因分析%防治
低位直腸癌%全繫膜切除%雙吻閤器%吻閤口瘺%原因分析%防治
저위직장암%전계막절제%쌍문합기%문합구루%원인분석%방치
Low colorectal cancer%Total mesorectal excision%Bauble stapling%Anastigmatic leakage%Cause analysis%Prevention
目的：分析中低位直肠癌全系膜切除及双吻合器吻合术后发生吻合口瘘的原因为防治措施提供参考。方法2009年1月～2013年12月普外科共收治47例中低直肠癌患者，所有患者均进行直肠全系膜切除及双吻合器吻合术，观察患者术后吻合口瘘的情况并分析其原因。结果术后4例患者出现吻合口瘘，占总患者数的8.51%，出现吻合口瘘的时间为4～10 d，平均为（6.72±1.69）d，其中2例吻合口瘘患者经临床保守治疗治愈，1例吻合口瘘患者经暂时性横结肠造口治愈，1例吻合口瘘患者经肛门瘘口缝合加保守治疗措施治愈。结论吻合口瘘是中低位直肠癌全系膜切除及双吻合器吻合术后常见的严重并发症之一，通过对吻合口瘘出现的原因进行分析，采取相应的防治措施，可降低吻口瘘的发生。
目的：分析中低位直腸癌全繫膜切除及雙吻閤器吻閤術後髮生吻閤口瘺的原因為防治措施提供參攷。方法2009年1月～2013年12月普外科共收治47例中低直腸癌患者，所有患者均進行直腸全繫膜切除及雙吻閤器吻閤術，觀察患者術後吻閤口瘺的情況併分析其原因。結果術後4例患者齣現吻閤口瘺，佔總患者數的8.51%，齣現吻閤口瘺的時間為4～10 d，平均為（6.72±1.69）d，其中2例吻閤口瘺患者經臨床保守治療治愈，1例吻閤口瘺患者經暫時性橫結腸造口治愈，1例吻閤口瘺患者經肛門瘺口縫閤加保守治療措施治愈。結論吻閤口瘺是中低位直腸癌全繫膜切除及雙吻閤器吻閤術後常見的嚴重併髮癥之一，通過對吻閤口瘺齣現的原因進行分析，採取相應的防治措施，可降低吻口瘺的髮生。
목적：분석중저위직장암전계막절제급쌍문합기문합술후발생문합구루적원인위방치조시제공삼고。방법2009년1월～2013년12월보외과공수치47례중저직장암환자，소유환자균진행직장전계막절제급쌍문합기문합술，관찰환자술후문합구루적정황병분석기원인。결과술후4례환자출현문합구루，점총환자수적8.51%，출현문합구루적시간위4～10 d，평균위（6.72±1.69）d，기중2례문합구루환자경림상보수치료치유，1례문합구루환자경잠시성횡결장조구치유，1례문합구루환자경항문루구봉합가보수치료조시치유。결론문합구루시중저위직장암전계막절제급쌍문합기문합술후상견적엄중병발증지일，통과대문합구루출현적원인진행분석，채취상응적방치조시，가강저문구루적발생。
Objective To investigate the reasons for low colorectal cancer total mesorectal excision and double stapling anastigmatic fistula analysis and anti-Governance. Methods 47 cases of colorectal cancer patients from January 2009 to December 2013 in our hospital for surgical treatment of general surgery. All patients underwent a low total mesorectal excision and double stapling anatomizes, anastigmatic observed in patients fistula cases and analyzed their causes. Results 4 cases of postoperative anastigmatic fistula patients, 8.51%of the total number of patients, anastigmatic fistula time of 4 days to 10 days, the average time was(6.72 ± 1.69)days, including two cases of patients with clinical anastigmatic leakage conservative treatment, one case of anastigmatic leakage after temporary transverse colostomy patients were cured, one case of anastigmatic fistula in patients with anal fistula suture cure. Conclusion Anastigmatic leakage is the most common postoperative complications of low colorectal cancer total mesorectal excision and double stapling . By analyzing and taking appropriate preventive measures, the incidence of anastigmatic fistula can be reduced .
